Caring for people living with dementia in care homes requires training in best dementia care practice and person-centred care. This article describes the main interventions and processes that have been adopted by Four Seasons Health Care, an independent provider of residential care homes and care homes with nursing in the UK, to develop its homes into centres of excellence for dementia care. It provides an overview of the PEARL (Positively Enriching And enhancing Residents Lives) programme, which has been found to reduce antipsychotic medication use, depression scores and pain, and improve patient wellbeing.